Individual
MR. PANU LIMPISVASTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 LILIHA STREET, #701, HONOLULU, HI 96817
(808) 528-4577
(808) 528-4577
Mailing address
1520 LILIHA STREET, #701, HONOLULU, HI 96817
(808) 528-4577
(808) 528-4577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2476
HI
207RR0500X
Rheumatology Physician
Primary
MD2476
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0037810
HMSA
HI
05
—
03424201
—
HI
01
—
2476
MDX QUEENS
HI
01
—
H
MEDICARE ID-PIN
HI
Enumeration date
06/18/2006
Last updated
10/04/2007
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